中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
Chinese Journal of Practical Nursing
2015年
28期
2118-2122
,共5页
关风光%王涛%黄玉兰%陈志斌%冯林焰%林丹瑜
關風光%王濤%黃玉蘭%陳誌斌%馮林燄%林丹瑜
관풍광%왕도%황옥란%진지빈%풍림염%림단유
肺疾病,慢性阻塞性%呼吸操%肺康复
肺疾病,慢性阻塞性%呼吸操%肺康複
폐질병,만성조새성%호흡조%폐강복
Pulmonary disease%Chronic obstructive%Breathing exercises%Pulmonary rehabilitation
目的 观察呬字诀呼吸操对慢性阻塞性肺疾病(COPD)稳定期患者肺功能、呼吸困难情况、6 min步行距离(6MWD)、呼吸肌耐力及生命质量的影响.方法 将63例COPD患者采用随机数字表法分为2组,观察组31例,予常规治疗和护理联合呬字诀呼吸操训练,对照组32例,予常规治疗和护理,疗程均为4个月. 疗程前后通过第一秒用力呼气容积(FEV1)、FEV1占预计值百分比(FEV1%)、第一秒用力呼气容积与用力肺活量比值(FEV1/FVC)、呼吸困难评分(MMRC)、6MWD、呼吸肌耐力及生命质量量表(SGRQ)等指标进行康复效果评定. 结果 干预后观察组FEV1、最大自主通气(MVV)、6MWD值均较干预前及对照组干预后升高[(1.42±0.43)L比(1.22±0.32)L和(1.21±0.45)L,(52.39±14.21) L比(47.20 ±14.59) L和(43.65 ±11.89) L,(288.36 ±71.70) m比(244.42 ±71.50) m和(250.56 ±79.25) m,P<0.05 ],MMRC、SGRQ总分、活动部分及日常生活部分得分较干预前及对照组干预后降低[(2.63±1.00)分比(3.21±0.92)分和(3.14±1.12)分,(44.38±5.23)分比(54.74±5.73)分和(52.87±5.49)分,(41.25±6.03)分比(66.48±6.38)分和(64.13±5.34)分,(28.00±7.34 )分比(44.87±4.86)分和(42.31±9.12)分,P<0.05 ].结论 呬字诀呼吸操能一定程度改善COPD稳定期患者肺功能、缓解呼吸困难、提高运动耐力和呼吸耐力,从而最终提高患者生命质量,是今后综合肺康复方案中值得采用的措施之一.
目的 觀察呬字訣呼吸操對慢性阻塞性肺疾病(COPD)穩定期患者肺功能、呼吸睏難情況、6 min步行距離(6MWD)、呼吸肌耐力及生命質量的影響.方法 將63例COPD患者採用隨機數字錶法分為2組,觀察組31例,予常規治療和護理聯閤呬字訣呼吸操訓練,對照組32例,予常規治療和護理,療程均為4箇月. 療程前後通過第一秒用力呼氣容積(FEV1)、FEV1佔預計值百分比(FEV1%)、第一秒用力呼氣容積與用力肺活量比值(FEV1/FVC)、呼吸睏難評分(MMRC)、6MWD、呼吸肌耐力及生命質量量錶(SGRQ)等指標進行康複效果評定. 結果 榦預後觀察組FEV1、最大自主通氣(MVV)、6MWD值均較榦預前及對照組榦預後升高[(1.42±0.43)L比(1.22±0.32)L和(1.21±0.45)L,(52.39±14.21) L比(47.20 ±14.59) L和(43.65 ±11.89) L,(288.36 ±71.70) m比(244.42 ±71.50) m和(250.56 ±79.25) m,P<0.05 ],MMRC、SGRQ總分、活動部分及日常生活部分得分較榦預前及對照組榦預後降低[(2.63±1.00)分比(3.21±0.92)分和(3.14±1.12)分,(44.38±5.23)分比(54.74±5.73)分和(52.87±5.49)分,(41.25±6.03)分比(66.48±6.38)分和(64.13±5.34)分,(28.00±7.34 )分比(44.87±4.86)分和(42.31±9.12)分,P<0.05 ].結論 呬字訣呼吸操能一定程度改善COPD穩定期患者肺功能、緩解呼吸睏難、提高運動耐力和呼吸耐力,從而最終提高患者生命質量,是今後綜閤肺康複方案中值得採用的措施之一.
목적 관찰희자결호흡조대만성조새성폐질병(COPD)은정기환자폐공능、호흡곤난정황、6 min보행거리(6MWD)、호흡기내력급생명질량적영향.방법 장63례COPD환자채용수궤수자표법분위2조,관찰조31례,여상규치료화호리연합희자결호흡조훈련,대조조32례,여상규치료화호리,료정균위4개월. 료정전후통과제일초용력호기용적(FEV1)、FEV1점예계치백분비(FEV1%)、제일초용력호기용적여용력폐활량비치(FEV1/FVC)、호흡곤난평분(MMRC)、6MWD、호흡기내력급생명질량량표(SGRQ)등지표진행강복효과평정. 결과 간예후관찰조FEV1、최대자주통기(MVV)、6MWD치균교간예전급대조조간예후승고[(1.42±0.43)L비(1.22±0.32)L화(1.21±0.45)L,(52.39±14.21) L비(47.20 ±14.59) L화(43.65 ±11.89) L,(288.36 ±71.70) m비(244.42 ±71.50) m화(250.56 ±79.25) m,P<0.05 ],MMRC、SGRQ총분、활동부분급일상생활부분득분교간예전급대조조간예후강저[(2.63±1.00)분비(3.21±0.92)분화(3.14±1.12)분,(44.38±5.23)분비(54.74±5.73)분화(52.87±5.49)분,(41.25±6.03)분비(66.48±6.38)분화(64.13±5.34)분,(28.00±7.34 )분비(44.87±4.86)분화(42.31±9.12)분,P<0.05 ].결론 희자결호흡조능일정정도개선COPD은정기환자폐공능、완해호흡곤난、제고운동내력화호흡내력,종이최종제고환자생명질량,시금후종합폐강복방안중치득채용적조시지일.
Objective To discuss Si tactic of breathing exercises on the rehabilitation of lung function, dyspnea, distance of 6-minute walk distance (6MWD), respiratory muscle endurance and quality of life in stable patients with chronic obstructive pulmonary disease (COPD). Methods 63 patients with COPD were divided into experimental group with 31 cases and control group with 32 cases according to random digital table method. The experimental group were given routine treatment and nursing care, take Si tactic of breathing exercises. The control group were given routine treatment and nursing care only. Both groups were given treatment for 4 months. The indexes of lung function (FEV1, FEV1%, FEV1/FVC), scores of the Modified Medical Research Council Scale (MMRC), 6MWD, scores of Saint-George′s Respiratory Questionnaire (SGRQ), maximal voluntary ventilation (MVV) changes before and after the therapy were measured. Results After intervention, the lung function as measured by FEV1, MVV, 6MWD showed a significant improvement in the experimental group, and was higher than that in the control group[(1.42±0.43) L vs.(1.22±0.32) L and(1.21±0.45) L,(52.39±14.21) L vs.(47.20±14.59) L and (43.65±11.89) L, (288.36±71.70) m vs.(244.42±71.50) m and (250.56 ±79.25) m, P<0.05]; MMRC scores, SGRQ scores, activities and daily life part score were lower after intervention and was lower than that in the control group [(2.63 ±1.00) points vs. (3.21 ±0.92) points and (3.14±1.12) points, (44.38±5.23) points vs. (54.74±5.73) points and (52.87±5.49) points, (41.25± 6.03) pints vs.(66.48±6.38) points and (64.13±5.34) points, (28.00±7.34) points vs. (44.87±4.86) points and (42.31 ±9.12) points, P<0.05]. Conclusions For COPD patients in stable stage, Si tactic of breathing exercises can improve the pulmonary function and alleviate dyspnea, enhance exercise endurance and respiratory endurance, thereby improve the quality of life of patients, so this is one of the method for comprehensive pulmonary rehabilitation in the future.
